YOU WROTE: I have never been able to sense
the ejaculatory process meaning during
intercourse i cannot sense the tension
build up followed by the release of semen.
I have been able to sense this earlier
during my teens but now I am not able to
do so, hence i'm not able to orgasm or
enjoy sex at all. This has affected my
marital life and also my peace of mind. my
semen analysis is normal and testosterone
levels are about 430. i've been to an
endocrinologist who has verified that all
my hormone levels are normal. My urologist
mentioned that anatomically everything
seems to fine on the outer side. My sex
therapist mentioned that my issues are not
pshycological.
Current medical treatment: tried
wellbutrin didn't work.
It seems that you can reach ejaculation
but can’t feel the sensation of the
orgasm. Without feeling an orgasm, it
seems obvious that a person can't enjoy
sex. According to the urologist’s and
endocrinologist’s opinions your genitals
are functioning properly. However, another
possible location for the problem could be
your brain. An orgasm is a complex series
of reactions that occur in the brain. Each
orgasm is provoked by erotic stimuli
coming from the genitals whose climax (for
men) is ejaculation. It seems that your
problem is not neurologic, however,
because the visible manifestation of the
orgasm, ejaculation, is present.
Therefore, the only remaining diagnostic
possibility is that your problem is
psychological. You can ask for another
opinion from a psychiatrist or sex
therapist in order to target the possible
reasons for this disorder.
DISCLAIMER:
"Ask a Doctor" Questions are answered by family doctors who practice medicine for the general public. For more information about eHealthForum.com medical experts, please visit our About Us page. You may also visit our Sexual Health - Men Forum, for moderated patient to patient support and information.
The material presented in the eHealth Forum Discussion Forums and Ask A Doctor is in no way intended to replace professional medical care or attention by a qualified licensed medical professional. eHealth Forum and eHealth Forum's Ask A Doctor advises all users with health problems and concerns to consult their personal doctors. Furthermore, if you have any questions or concerns about your condition, you must consult your qualified licenseced medical professional before starting any treatment.
The materials in the eHealth Forum Discussion Forums and Ask A Doctor cannot and should not be used as a basis for diagnosis or choice of treatment. To the fullest extent possible, eHealth Forum and eHealth Forum's Ask A Doctor expressly excludes all liability in respect of the information and opinions contained in the Discussion Forums and Ask A Doctor, this Web site, or any sites linked to this Web site.
